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FAA (SF 254) Template No. 24

 

 

Architect-Engineer and Related Services Questionnaire

   

Purpose:

The policy of the Federal Government in acquiring architectural, engineering, and related professional services is to encourage firms lawfully engaged in the practice of those professions to submit annually a statement of qualifications and performance data, FAA Template No. 29, "Architect-Engineer and Related Services Questionnaire," is provided for that purpose. Interested A-E firms (including new, small, and/or minority firms) should complete and file FAA Template No. 29’s with appropriate offices for which the A-E is qualified to perform services. The agency head for each proposed project shall evaluate these qualification resumes, together with any other performance data on file or requested by the agency, in relation to the proposed project. The FAA Template No. 29 may be used as a basis for selecting firms for discussions, or for screening firms preliminary to inviting submission of additional information.

Definitions:

"Architect-Engineer Services" are defined in Appendix C of the FAA Acquisition Management System.

"Parent Company" is that firm, company, corporation, association or conglomerate which is the major stockholder or highest tier owner of the firm completing this questionnaire; i.e., Firm A is owned by Firm B which is, in turn, a subsidiary of Corporation C. The "parent company" of Firm A is Corporation C.

"Principals" are those individuals in a firm who possess legal responsibility for its management. They may be owners, partners, corporate officers, associates, administrators, etc.

"Discipline," as used in this questionnaire, refers to the primary technological capability of individuals in the responding firm. Possession of an academic degree, professional registration, certification, or extensive experience in a particular field of practice normally reflects an individual’s primary technical discipline.

"Joint Venture" is a collaborative undertaking by two or more firms or individuals for which the participants are both jointly and individually responsible.

"Consultant," as used in this questionnaire, is a highly specialized individual or firm having significant input and responsibility for certain aspects of a project and possessing unusual or unique capabilities for assuring success of the finished work.

"Prime" refers to that firm which may be coordinating the concerted and complementary inputs of several firms, individuals or related services to produce a completed study or facility. The "prime" would normally be regarded as having full responsibility and liability for quality of performance by itself as well as by subcontractor professionals under its jurisdiction.

"Branch Office" is a satellite, or subsidiary extension, of a headquarters office of a company, regardless of any differences in name or legal structure of such a branch due to local or state laws. "Branch offices" are normal subject to the management decisions, bookkeeping, and policies of the main office.

 

Instructions for Filing (Numbers below correspond to numbers contained in form):

  1. Type accurate and complete name of submitting firm, its address, and zip code.

1.a. Indicate whether form is being submitted in behalf of a parent firm or a branch office. Branch office submissions should list only personnel in, and experience of, that office.)

  1. Provide date the firm was established under the name shown in Question 1.
  2. Show date on which form is prepared. All information submitted shall be current and accurate as of this date.
  3. Enter type of ownership, or legal structure, of firm (sole proprietor, partnership, corporation, joint venture, etc.).

Check appropriate boxes indicating if firm is (a) a small business concern; (b) a small business concern owned and operated by socially and economically disadvantaged individuals; and (c) Woman-owned.

  1. Branches of subsidiaries of large or parent companies, or conglomerates, should insert name and address of highest-tier owner.

5.a. If present firm is the successor to, or outgrowth of, one or more predecessor firms, show name(s) of former entity(ies) and the year(s) of their original establishment.

  1. List not more than two principals from submitting firm who may be contacted by the agency receiving this form. (different principals may be listed on forms going to another agency.) Listed principals must be empowered to speak for the firm on policy and contractual matters.
  2. Beginning with the submitting office, list name, location, total number of personnel, and telephone numbers for al associated or branch offices, (including any headquarters or foreign offices) which provide A-E and related services.

7a. Show total personnel in all offices. (Should be sum of all personnel, all branches.)

  1. Show total number of employees, by discipline, in submitting office. (*If form is being submitted by main or headquarters office, firm should list total employees, by discipline, in all offices.) While some personnel may be qualified in several disciplines, each person should be counted only once in accord with his or her primary function. Include clerical personnel as "administrative." Write in any additional disciplines—sociologist, biologists, etc. – and number of people in each, in blank spaces.

 

 

FAA (SF 254) Template No. 24

Architect-Engineer and Related Services Questionnaire

   

  1. Using chart (below) insert appropriate index number to indicate range of professional services fees received by submitting firm each calendar year for last five years, most recent year first. Fee summaries should be broken down to reflect the fees received each year for (a) work performed directly for the Federal Government (not including grant and loan projects) or as a sub to other professionals performing work directly for the Federal Government; (b) all other domestic work, U.S. and possessions, including Federally-assisted projects, and (c)  all other foreign work.

Ranges of Professional Services Fees

INDEX INDEX

  1. Less than $100,000 5. $1 million to $2 million
  2. $100,000 to $250,000 6. $2 million to $5 million
  3. $250,000 to $500,000 7. $5 million to $10 million
  4. $500,000 to $1 million 8. $10 million or greater

10. Select and enter, in numerical sequence, not more than thirty (30) "Experience Profile Code" numbers from the listing (next page) which most accurately reflect submitting firm’s demonstrated technical capabilities and project experience. Carefully review list. (It is recognized some profile codes may be part of other services or projects contained on list; firms are encouraged to select profile codes which best indicate type and scope of services provided on past projects.) For each code number, show total number of projects and gross fees (in thousands) received for profile projects performed by firm during past few years. If firm has one or more capabilities not included on list, insert same in blank spaces at end of list and show numbers in question 10 on the form. In such cases, the filled-in listing must accompany the complete FAA Template No. 29 when submitted to the Federal agencies.

  1. Using the "Experience Profile Code" numbers in the same sequence as entered in Item 10, give details of at least one recent (within last five years) representative project for each code number, up to a maximum of thirty (30) separate projects, or portions of projects, for which firm was responsible. (Project examples may be used more than once to illustrate different services rendered on the same job. Example: a dining hall may be part of an auditorium or educational facility.) Firms which select less than thirty "profile codes" may list two or more project examples (to illustrate specialization) for each code number so long as total of all project examples does not exceed thirty (30). After each code number in Question 11, show: (a) whether firm as "P," the prime professional, or "C," a consultant, of "JV," part of a joint venture on that particular project (new firms, in existence less than five (5) years may use the symbol "IE" to indicate "Individual Experience," as opposed to firm experience); (b) provide name and location of the specific project which typifies firm’s (or individual’s) performance under that code category; (c)  give name and address of the owner of that project (if government agency indicate responsible office); (d) show the estimated construction cost (or other applicable cost) for that portion of the project for which the firm was primarily responsible. (Where no construction was involved, show approximate cost of firm’s work); and (e) state year work on that particular project was, or will be, completed.
  2. The completed FAA Template No. 29 should be signed by a principal of the firm, preferably the chief executive officer.
  3. Additional data, brochures, photos, etc., should not accompany this form unless specifically requested.

 

NEW FIRMS (not reorganized or recently-amalgamated firms) are eligible and encouraged to seek work from the Federal Government in connection with performance of projects for which they are qualified. Such firms are encouraged to complete and submit FAA Template No. 29 to appropriate agencies. Questions on the form dealing with personnel or experience may be answered by citing experience and capabilities of individuals in the firm, based on performance and responsibility while in the employee of others. In so doing, notation of this fact should be made on the form. In Question 9, write in "N/A" to indicate "not applicable" for those years prior to firm’s organization.

 

 

 

FAA (SF 254) Template No. 24

 

 

Architect-Engineer and Related Services Questionnaire

 

Experience Profile Code Numbers for use with Questions 10 and 11

001 Acoustics, Noise Abatement

002 Aerial Photogrammetry

003 Agricultural Development: Grain Storage: Farm Mechanization

004 Air Pollution Control

005 Airports; Navaids; Airport Lighting; Aircraft Fueling

006 Airports; Terminals & Hangars; Freight Handling

007 Arctic Facilities

008 Auditoriums & Theaters

009 Automation; Controls; Instrumentation

010 Barracks; Dormitories

011 Bridges

012 Cemeteries (Planning Y Relocation)

013 Chemical Processing & Storage

014 Churches; Chapels

015 Codes; Standards; Ordinances

016 Cold Storage; Refrigeration; Fast Freeze

017 Commercial Building (low rise); Shopping Centers

018 Communications Systems; TV; Microwave

019 Computer Facilities; Computer Service

020 Conservation and Resource Management

021 Construction Management

022 Corrosion Control; Cathodic Protection;

Electrolysis

023 Cost Estimating

024 Dams (Concrete; Arch)

025 Dams (Earth; Rock); Dikes; Levees

026 Desalinization (Process & Facilities)

027 Dining Halls; Clubs; Restaurants

028 Ecological & Archeological Investigations

029 Educational Facilities; Classrooms

030 Electronics

031 Elevators; Escalators; People-Movers

032 Energy Conservation; New Energy Sources

033 Environmental Impact Studies, Assessments or Statements

034 Fallout Shelters; Blast-Resistant Design

035 Field Houses; Gyms; Stadiums

036 Fire Protection

037 Fisheries; Fish Ladders

038 Forestry & Forest Products

039 Garages; Vehicle Maintenance Facilities; Parking Decks

040 Gas Systems (Propane; Natural, etc.)

041 Graphic Design

042 Harbors; Jetties; Piers, Ship Terminal Facilities

043 Heating; Ventilating; Air Conditioning

044 Health Systems Planning

045 Highrise; Air-Rights-Type Buildings

046 Highways; Streets; Airfield Paving Parking Lots

047 Historical Preservation

048 Hospital & Medical Facilities

049 Hotels; Models

050 Housing (Residential, Multi-Family; Apartments; Condominiums)

051 Hydraulics & Pneumatics

052 Industrial Buildings; Manufacturing Plants

053 Industrial Processes; Quality Control

054 Industrial Waste Treatment

055 Interior Design; Space Planning

056 Irrigation; Drainage

057 Judicial and Courtroom Facilities

058 Laboratories; Medical Research Facilities

059 Landscape Architecture

060 Libraries; Museums; Galleries

061 Lighting (Interiors, Display; Theater, etc.)

062 Lighting (Exteriors, Streets; Memorials; Athletic Fields, etc.)

063 Materials Handling Systems; Conveyors; Sorters

064 Metallurgy

065 Microclimatology; Tropical Engineering

066 Military Design Standards

067 Mining & Mineralogy

068 Missile Facilities (Silos; Fuels; Transport)

069 Modular Systems Design; Pre-Fabricated Structures or Components

070 Naval Architecture; Off-Shore Platforms

071 Nuclear Facilities; Nuclear Shielding

072 Office buildings; Industrial parks

073 Oceanographic Engineering

074 Ordnance; Munitions; Special Weapons

075 Petroleum Exploration; Refining

076 Petroleum and fuel (Storage and Distribution)

077 Pipelines (Cross-Country- Liquid & Gas)

078 Planning (Community, Regional, Areawide & State)

079 Planning (Site, Installation, and Project)

080 Plumbing and Piping Design

081 Pneumatic Structure, Air-Support buildings

082 Postal Facilities

083 Power Generation, Transmission, Distribution

084 Prison & Correctional Facilities

085 Product, machine & Equipment Design

086 Radar; Sonar; Radio & Radar Telescopes

087 Railroad; Rapid Transit

088 Recreation Facilities (Parks, Marinas, etc.)

089 Rehabilitation (Buildings; Structures; Facilities)

090 Resource Recovery’ Recycling

091 Rivers; Canals; Waterways; Flood Control

093 Safety Engineering; Accident Studies; OSHA Studies

094 Security Systems; Intruder & Smoke Detection

095 Seismic Designs & Studies

096 Sewage Collection, Treatment, and Disposal

097 Soils & Geologic Studies; Foundations

098 Solar Energy Utilization

099 Solid Wastes; Incineration; Land Fill

100 Special Environments; Clean Rooms; etc.

101 Structural Design; Special Structures

102 Surveying; platting; Mapping; Flood Plain Studies

103 Swimming Pools

104 Storm Water Handling & Facilities

105 Telephone Systems (Rural; Mobile; Intercom, etc.)

106 Testing & Inspection Services

107 Traffic & Transportation Engineering

108 Towers (Self-Supporting & Guyed Systems)

109 Tunnels & Subways

110 Urban Renewals; Community Development

111 Utilities (Gas & Steam)

112 Value Analysis; Life-Cycle Costing

113 Warehouses & Depots

114 Water Resources; Hydrology; Ground Water

115 Water Supply; Treatment and Distribution

116 Wind Tunnels; Research/Testing Facilities Design

117 Zoning; Land Use Studies

201

202

203

204

205

 

 

 

 

FAA (SF 254)

1. Firm Name/Business Address:

2. Year Present Firm Established

3. Date Prepared

Template No. 24

4. Specify type of ownership and check below, if applicable

Architect-Engineer and

a. Small Business

Related Services

B. Small Disadvantaged Business

Questionnaire

1.a. Submittal is for Parent Company Branch or Subsidiary Office

C. Woman-owned Business

5. Name of Parent Company, If Any:

5.a. Former Parent Company Name(s), if any, and Year(s) Established:

6. Names of not more than Two Principals to Contact: Title/Telephone

1)

2)

 

7. Present Offices: City/State/Telephone/No. Personnel Each Office

7.a. Total Personnel

 

8. Personnel by Discipline: (List each person only once, by primary function.)

 

Administrative

Electrical Engineers

Oceanographers

 

 
 

Architects

Estimators

Planners: Urban/Regional

 

 
 

Chemical Engineers

Geologists

Sanitary Engineers

 

 
 

Civil Engineers

Hydrologists

Soils Engineers

 

 
 

Construction Inspectors

Interior Designers

Specification Writers

 

 
 

Draftsmen

Landscape Architects

Structural Engineers

 

 
 

Ecologist

Mechanical Engineers

Surveyors

 

 
 

Economists

Mining Engineers

Transportation Engineers

 

 
 

9. Summary of Professional

                             

Ranges of Professional Services Fees

Services Fees (Insert index number)

     

Last 5 Years (most recent year first)

   

INDEX

                               

1. Less than $100,000

Direct Federal Contract Work,, incl. oversears

19

 

19

 

19

 

19

 

19

 

2. $100,000 to $250,000

                               

3. $250,000 to $500,000

All other domestic work

19

 

19

 

19

 

19

 

19

 

4. $500,000 to $1 million

                               

5. $1 million to $2 million

All other foreign work

19

 

19

 

19

 

19

 

19

 

6. $2 million to $5 million

                               

7. $5 million to $10 million

Firms interested in foreign work, but without such experience, check here:

8. $10 million or greater

 

 

10. Profile of Firm’s Project Experience, Last 5 Years.

 

Profile

Number of

Total Gross Fees

 

Profile

Number of

Total Gross Fees

 

Profile

Number of

Total Gross Fees

 

Code

Projects

(in thousands)

 

Code

Projects

(in thousands)

 

Code

Projects

(in thousands)

1)

11)

21)

2)

12)

22)

3)

13)

23)

4)

14)

24)

5)

15)

25)

6)

16)

26)

7)

17)

27)

8)

18)

28)

9)

19)

29)

10)

20)

30)

11. Project examples, Last 5 years:

 

Profile Code

"P," "C,"

"JV," or "IE

 

 

Project Name and Location

 

Owner Name and Address

Cost of Work (in thousands)

Completion Date (Actual or Estimated)

   

1

   

 

 

   

2

   

 

 

   

3

   

 

 

 

   

4

   

 

 

 

   

5

   

 

 

 

   

6

   

 

 

 

   

7

   

 

 

 

 

 

 

 

Profile Code

"P," "C,"

"JV," or "IE

 

 

Project Name and Location

 

Owner Name and Address

Cost of Work (in thousands)

Completion Date (Actual or Estimated)

   

8

   

 

 

 

   

9

   

 

 

 

   

10

   

 

 

 

   

11

   

 

 

 

   

12

   

 

 

 

   

13

   

 

 

 

   

14

   

 

 

 

   

15

   

 

 

 

   

16

   

 

 

 

   

17

   

 

 

 

   

18

   

 

 

 

   

19

   

 

 

 

 

 

Profile Code

 

20

   

 

 

 

   

21

   

 

 

 

   

22

   

 

 

 

   

23

   

 

 

 

   

24

   

 

 

 

   

25

   

 

 

 

   

26

   

 

 

 

   

27

   

 

 

 

   

28

   

 

 

 

   

29

   

 

 

 

   

30

   

 

 

 

12. THE FOREGOING IS A STATEMENT OF FACTS

DATE:

 

Signature:

   

 

Typed Name and Title: